Direct aortic transcatheter valve implantation via mini-thoracotomy using the Medtronic CoreValve

Giuseppe Bruschi, Luca Botta, Federico De Marco, Paola Colombo, Sandra Nonini, Silvio Klugmann, Luigi Martinelli

Research output: Contribution to journalArticlepeer-review


Transcatheter aortic valve implantation using the Medtronic CoreValve is a well-established procedure. Although previously carried out only through the common femoral artery, today it is possible to perform the procedure through different arterial alternative access sites. A direct aortic approach through the ascending aorta could be carried out via a right anterior mini-thoracotomy in the second intercostal space. The pericardium is opened to expose the aorta. Two purse-string sutures are then placed on the ascending aorta and a standard retrograde CoreValve implantation is performed with the standard delivery system. Advantages, contraindications, surgical technique and results are discussed.

Original languageEnglish
Pages (from-to)mmt015
JournalMultimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery
Publication statusPublished - 2013


  • Aortic stenosis
  • Aortic valve
  • Direct aortic valve implantation
  • Minimally invasive
  • Thoracotomy
  • transcatheter valve implantation

ASJC Scopus subject areas

  • Medicine(all)


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